Provider Demographics
NPI:1548710973
Name:COMPANION HOME CARE, INC.
Entity type:Organization
Organization Name:COMPANION HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:540-981-2255
Mailing Address - Street 1:3524 BRAMBLETON AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6528
Mailing Address - Country:US
Mailing Address - Phone:540-981-2255
Mailing Address - Fax:540-981-0215
Practice Address - Street 1:3524 BRAMBLETON AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6528
Practice Address - Country:US
Practice Address - Phone:540-981-2255
Practice Address - Fax:540-981-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care